Enter and view: Summary report of 2017/18 Care Home Enter and View visits

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Summary of report content

In March 2018, Healthwatch Salford published a summary report that pulled together the findings of the 16 Enter and view visits made between June 2017 and March 2018. Across 16 visits there were 87 recommendations made, with corresponding responses from the home. The themes from these recommendations were: • Care plans • Staffing levels • Staff training and support • Environment • Information and accessibility • Food • Activities • Procedure • Maintenance Healthwatch Salford found that practice and standards varied and were often inconsistent across the different homes, but this was not surprising when factoring in staffing issues and turnover of managers, with at least 7 out of the 16 homes having different managers from the time Healthwatch Salford started the project to the time the visits were conducted. The report makes some further recommendations drawn from the common themes but focusses on the areas of good practice that residents, their families and carers, and staff said had, or would, make a difference to their experience of their Care Home. The report illustrates that effective, caring and responsive managers make all the difference, whether new or in post for many years, and often expect, manage and support care home staff to demonstrate these qualities too, with positive impacts on quality of care. The further recommendations also suggest ways to improve on things that may already be being done well, such as: invite and involve other activity professionals and entertainers to organise activities within the home, bringing the community to the home, which encourages residents to get involved in activities and interests that they used to do before they came to the home. The report also reflects on Healthwatch Salford's own practice and provides a summary of their own learning in relation to this programme of work.

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General details

Report title 
Enter and view: Summary report of 2017/18 Care Home Enter and View visits
Local Healthwatch 
Healthwatch Salford
Date of publication 
Thursday, 15 March, 2018
Date evidence capture began 
Thursday, 24 August, 2017
Date evidence capture finished 
Tuesday, 20 March, 2018
Type of report 
Enter and view
Key themes 
Access
Admission
Building and facilities
Communication between staff and patients
Complaints procedure
Consent to care and treatment
Continuity of care
Decor
Engagement
Food and nutrition
Health and safety
Health protection
Holistic support
Information providing
Lifestyle and wellbeing
Quality of care
Quality of catering
Quality of staffing
Quality of treatment
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Support
Other information of note about this report 
Careplan
Activity Coordinator
Good Practice
Healthwatch reference number 
Rep-6786

Methodology and approach

Was the work undertaken at the request of another organisation? 
No
What type of organisation requested the work 
N/A
Primary research method used 
Observation
How was the information collected? 
Visit to provider
If an Enter and View methodology was applied, was the visit announced or unannounced? 
Announced

Details of health and care services included in the report

Secondary care services 
Care of the elderly
Social care services 
Nursing care home
Residential care home

Details about conditions and diseases

Types of disabilities 
Memory
Types of long term conditions 
Alzheimer’s disease or dementia
What type of pregnancy or maternity themes are included in the report 
N/A

Details of people who shared their views

Number of people who shared their views 
182
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
Administrative
All care professionals
Service manager
Does the information include other people's views? 
Yes
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Yes
Does the information contain a response from a provider? 
Not applicable
Is there evidence of impact in the report? 
Yes
Is there evidence of impact external to the report? 
Yes
What type of impact was determined? 
Implied Impact
Network related impact

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.